Do you have 100% confidence only eligible spouses, children, college students, domestic partners, and civil union partners are receiving benefits?
As an ROI-driven healthcare cost containment firm, we employ our proprietary technology and methodology known as “The BRAIN” (Benefits Reconciliation And Insurance Negotiator). One of our core differentiators is we use the actual medical and pharmacy claims data to compute the actual savings for each ineligible dependent. We don’t use per capita averages. This gives our solution more credibility with senior management, external auditors and employment, ERISA and tax lawyers. Equally important, our solution is particularly relevant with plans having stop loss insurance.
Our clients have numerous audit options including a traditional letter campaign replete with bi-lingual call center support (optional), dependent proof verification and/or a web-based (screenshot) solution. If you’ve already completed or partially completed a dependent audit and want to leverage prior learnings into the new hire population or in a different population, you may be interested in our Targeted Audits or our Post Audit Diagnostic. Click here for a complete list of our dependent auditing services.
Another popular feature of our solution is our optional coordination of benefits (COB) data capture facility. COB data is then provided to payors to ensure other insurance plans are paying claims. This information is also extremely useful for calculating spousal surcharges or spousal coverage plan designs.
Best of all, the ROI can be viewed 24/7 since our manager dashboard is delivered via the web - there’s never any mystery around the ROI. We will be happy to perform dependent audits on a fixed fee, ROI guarantee or contingency basis.
Contact us now to arrange for a demo.
